|What is achilles tendonitis? | What does achilles tendonitis look like? | Insertional problems of the achilles | Symptoms of achilles tendonitis | Causes of achilles tendonitis | Treatments for achilles tendonitis | Physiotherapy for achilles tendonitis | Orthotic for achilles tendonitis | Shockwave Treatment | How soon should non-operative treatment of achilles tendonitis improve symptoms? | Imaging of the Achilles Tendon I Injecting achilles tendonitis | The surgical treatment of achilles tendonosis | What is the rationale behind the operations? | Post operative course following achilles tendonitis surgical treatment | Achilles Rupture | Return to normal activity after Achilles Tendon surgery | What is a Haglunds deformity? | What Is insertional tendonosis of the achilles? | Treatment for Haglunds deformity/or insertional achilles tendonosis | Non-operative treatment of Haglunds deformity, achilles tendonosis | Operative management of Haglunds deformity and insertional achilles tendonosis|
Post Operative Course Following Achilles Tendonitis Surgical Treatment
The First 24 Hours
A lightweight plaster cast will be applied after your operation. This will just be what is known as a back slab and allows the foot and ankle to swell after the operation.
You will be in this for a total of 2 weeks’ only.
It is important that for the first 3 or 4 days the limb is kept mainly elevated, to make it as comfortable as possible. You may certainly rest the foot to the ground and take some light weight through it for transferring to and from the shower or when standing at the sink.
It is important the cast is kept dry and you will be advised to use a limbo type cast cover.
Whilst in hospital you will be shown how to use crutches and to mobilise no weight bearing.
2 weeks following surgery you will go into a long aircast boot and start light partial weight bearing at this stage. You will be instructed to progressively come off the crutches as such that during the fifth post op week you will simply be using the aircast boot.
Beyond 5 weeks you will need more formal physiotherapy session, perhaps 1 or 2 a week to work on strengthening and balance of the Achilles and muscle around the ankle. This is likely to continue for 10 or 12 weeks post operatively.
It is unusual to be able to completely come out of the aircast boot by the end of 5 weeks’ post operatively. At this stage it is normally a question of gradually returning to increased day to day function sometimes using an aircast boot and sometimes using an alternative such as a stiff soled hiking boot. It would not be unusual to be able to return to a static bike and some pool based rehabilitation by 6 weeks’ following the operation and some cross training probably by 8 weeks’ post operation. It is certainly possible that lighter running can be done, especially on a treadmill by 10 weeks’ post-surgery. A return to more unrestricted sporting function will probably be at least a month beyond this.
Rehabilitation after Tendon Transfer Surgery
After more extensive Flexor Hallucis transfer Achilles tendon surgery it is likely you will be in a lightweight below knee plaster cast for 5 weeks. Following this you will require the use of an aircast boot and it is likely you will be in this until 8 or 9 weeks post-surgery. For the first 5 weeks in plaster cast you will be not weight bearing, beyond this you will then be increasing your weight and may come out of the Aircast boot non weight bearing.
A return to unrestricted function is likely to be a month or 2 behind that with lesser degrees of surgery.
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